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1699295311
MALLORY FORD
RUSSELLVILLE, AR
NPI
1699295311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-06-23
Last Update Date
2017-06-23
Business Address
MALLORY FORD
1610 S ARKANSAS AVE
RUSSELLVILLE, AR 72801-7125
Phone number: 479-967-4673
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Mailing Address
MALLORY FORD
602 N WALTON BLVD
BENTONVILLE, AR 72712-4576
Phone number: 479-464-1060
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